Individual
MRS. JEANNE LESLIE STROZIER-WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.P.T.
Contact information
Practice address
1004 GLEN HAVEN PL, BOISE, ID 83705-2233
(208) 345-3575
Mailing address
1004 GLEN HAVEN PL, BOISE, ID 83705-2233
(208) 345-3575
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
140
ID
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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